A nonsurgical rabbit model of enteric Shigella infection was developed
for studying the pathogenesis and immunology of shigellosis and for e
valuating Shigella vaccine candidates, In this model, rabbits are made
susceptible to Shigella infection by a pre-inoculation conditioning p
rocedure consisting of a 36-h nonfeeding period, with 250 mg of tetrac
ycline administered in 250 mi of drinking water, 75 mg of cimetidine g
iven intravenously, and two 15-ml doses of 5% sodium bicarbonate given
orally immediately before orogastric administration of the bacterial
inoculum, Lastly 2 ml of tincture of opium is administered intraperito
neally, With a virulent strain, Shigella flexneri 2a, the clinical and
pathologic characteristics of shigellosis in this rabbit model were s
tudied, Twenty hours after oral inoculation of 10(10) bacteria, all si
x experimental rabbits developed diarrhea and were lethargic or moribu
nd, whereas the four control rabbits inoculated with sterile broth rem
ained healthy, Histologic examination revealed severe, diffuse, necrot
izing ileitis with hemorrhage in experimental rabbits, whereas no lesi
ons were found in the controls, Although the major site of necrosis in
this rabbit model was the ileum, as opposed to the colon in humans an
d nonhuman primates, the histologic morphology of the lesion was the s
ame in the various hosts. Because it is relatively inexpensive and con
venient, this model should facilitate study of the pathophysiology and
immunology of shigellosis, thereby speeding development of oral vacci
nes, which can be tested in this animal model.